Loyal Hospice & Palliative Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LOYAL HOSPICE & PALLIATIVE CARE, LLC

Doing business as

Serenity Home Health

Practice address

5059 S Lakewood Rd # B.1
Fort Mohave, AZ 86426-6501

Phone

(928) 201-4444

NPI assigned

Jul 26, 2023

Last updated

Jul 12, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Hassett

Title

Owner/Ceo

Phone

(928) 788-0027

Specialties & licenses 1

Addresses

Other names 1

• Serenity Home Health Doing business as

Tax ID family

Loyal Hospice Palliative Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Loyal Hospice & Palliative Care, LLC

  dba Serenity Hospice

  • Community Based Hospice Care Agency
  • Fort Mohave, AZ
  • NPI 1841882198
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Koruon Daldalyan, M.D.

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1679937643
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1154002889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5059 S LAKEWOOD RD # B.1",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266501",
            "telephone_number": "928-201-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5059 S LAKEWOOD RD # B.1",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266501",
            "telephone_number": "928-201-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYAL HOSPICE & PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "HASSETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "928-788-0027",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dirk A Lehew, RPH
• Lexar Transit LLC
• Henry H Liang, D.O.
• Tianning Liu, PHARM.D
• Kenneth Dudley Locke, DO
• Loyal Hospice & Palliative Care, LLC (Serenity Hospice)
• Kristine Luna, NP
• Khushwant Singh Mangat, MD
• Theresa Marin, NP
• Carlos A Martinez

• Home Health Agency in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.